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Organization
KRISTINE BURKE MD, INC.
Active
Organization
KRISTINE BURKE MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE LOUISE BURKE (PRESIDENT)
(916) 983-5771
Entity
Organization
Contact information
Practice address
2390 E BIDWELL ST STE 100, FOLSOM, CA 95630-3873
(916) 983-5771
(916) 983-6004
Mailing address
2390 E. BIDWELL STREET, SUITE 100, FOLSOM, CA 95630
(916) 983-5771
(916) 983-6004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G079569
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
G079569
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
G79569
CA
Other
Enumeration date
05/03/2007
Last updated
02/04/2011
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